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Rohingya Refugee Crisis - WHO Bangladesh Weekly Situation Report #54, 09 December 2018

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Highlights

  • The 9th round of water quality surveillance in refugee settlements started from 26 November 2018 and planned to be completed by 12 December 2018.

  • Four days training on Gender-Based Violence in Emergencies (GBViE) was conducted from 26-29 November 2018.
    The training targeted health partners providing health services to GBV survivors in the Rohingya refugee camps.

  • Health sector completed the review of JRP projects in the online project system.

  • Third week of the OCV campaign covered 257 682 doses (78.4%) of the targeted beneficiaries.

Situation Overview

Over a million Rohingya refugees have fled violence in Myanmar in successive waves of displacement since the early 1990s. The latest exodus began on 25 August 2017, when violence broke out in Myanmar’s Rakhine State, driving more than 723,000 to seek refuge in Bangladesh. Most arrived in the first three months of the crisis. An estimated 12,000 reached Bangladesh during the first half of 2018. The vast majority reaching Bangladesh are women and children, and more than 40 per cent are under age 12. Many others are elderly people requiring additional aid and protection. The Rohingya are a stateless Muslim minority in Myanmar - have nothing and need everything.

RESPONSE

EPIDEMIOLOGICAL SUMMARY

  • As of week 48, 160 health facilities registered as active Early Warning, Alert and Response System (EWARS) reporting sites. Coverage of EWARS reporting in now 75 per cent (160/212)*.

  • Of these sites, 139 submitted their weekly reports (87 per cent) by 1 December 2018 resulting in a cumulative completeness of 85 per cent for 2018.

  • A total of 33 alerts (triggers) were reported and reviewed in the EWARS system in week 48. All the alerts were reviewed within 48 hours.

• Acute respiratory infection (ARI), acute watery diarrhea (AWD) and unexplained fever (UF) are the diseases with highest proportional morbidity in last week. All these conditions are being monitored by WHO Epidemiology team.

*Updated numbers from health facility registry data AWD UPDATE

  • A total of 4 817 AWD cases were reported from weekly report forms which is similar to the previous week (4 477 in week 47).

  • In recent weeks, the proportion of cases in those aged under-5 has increased above the proportion of cases above-5. See figure below

  • Three (3) new severe AWD cases reported from diarrhea treatment center (DTCs) in week 48 bringing down the total number of cases to 758 since June 2018.

  • No Rapid Diagnostic Test (RDT) positive alerts have been reported this week.